Course
Prefix/Number:
ALHE-200
Course
Title:
Emergency
Med. Tech.-Interm
Division:
Allied Health
Program:
Vocational
Credit
Hours:
5.0
Lab
Hours
25 (1 Credit hour)
Initiation/Revised
Date:
Fall 2005
CLASSIFICATION
OF INSTRUCTION
Vocational
This course is designed for
individuals interested in providing care to patients in the pre-hospital setting. The course will provide the participant with
opportunities to gain information, skills, and attitudes necessary for
certification and practice as an Emergency Medical Technician-Intermediate
(EMT-I) in the State of
This program is approved by
the Board of Emergency Medical Services.
It addresses information
Curriculum and the
Must be a Kansas Board of EMS
Certified Emergency Medical Technician.
Brady, “Intermediate Emergency Care”, Second Edition, Bledsoe, Bryan E.,
Cherry, Richard A. & Porter, Robert S., Prentice Hall, 1997.
Text-ISBN# 08359-5260-X
Brady, “Intermediate Emergency
Care”, Second Edition, Bledsoe, Cherry & Porter.
Workbook ISBN#0-8359-5263-0
The program will contain
information and skill practice opportunities that will enable a properly
motivated and capable participant to:
1.
Demonstrate an
understanding of human anatomy and physiology, and the rationale and fundamentals
of the prehospital care and treatment of the sick and injured.
2.
Perform an
initial, focused, detailed, and ongoing patient survey.
3.
Understand,
recognize, and provide appropriate basic life support (BLS) and advanced
interventions for life-threatening emergencies.
4.
Demonstrate
correct application and use of BLS equipment and equipment needed for advanced
interventions in the pre-hospital setting.
5.
Demonstrate a
laryngoscope, suction, endotrachael tubes, and bag-valve mask.
6.
Understand and recognize
indications and contraindications of endotracheal intubations.
7.
Discuss
alternatives to endotrachael intubations.
8.
Recognize and
discuss the importance of methods of preventing skill deterioration.
9.
Recognize the
need for, and have the ability to accomplish rapid and correct ET tube
placement.
10. Understand and discuss dangers and precautions when
using endotrachael and oropharyngeal suctioning.
11. Understand the rationale for practicing infection control
procedures during and after any contact with a patient.
12. Demonstrate correct placement of an ET tube in a
manikin within 45 seconds.
13. Demonstrate ventilation with bag-valve and
endotracheal intubations.
14. Demonstrate methods of assuring and maintaining
correct ET tube placement.
15. Demonstrate reventilation for missed intubations.
16. Demonstrate skills describe above on both manikin and
live patients.
17. Demonstrate proficiency in recognizing the need for,
and giving small volume mobilization breathing treatments.
18. Complete a written record of events for the receiving
hospital and a permanent record for local use (written report).
19. Communicate necessary information, in an orderly
manner, to other emergency personnel or to receiving facility from the scene
and/or ambulance using mobile radio equipment.
20. Understand and discuss the rationale for personal and
patient safety and care at the scene and throughout transport to receiving
facility.
21. Demonstrate phlebotomy techniques utilizing aseptic
technique and describe significance of laboratory values following laboratory
analysis.
22. Demonstrate mastery of all objectives in Kansas Board
of EMS EMT-I Kansas Enrichment.
COURSE OUTLINE
The Prehospital Environment
Instructional methods will
include lecture, audiovisuals, handouts, demonstrations, group activity,
Clinical and discussion. A
State Preparatory Review Course will be conducted following completion of the
required curriculum. This prepares the
student to challenge the State Certifying Examination for the Emergency Medical
Technician-Intermediate. This will be
provided at no charge to those individuals enrolled in the EMT-I course. Additionally, the hospitals providing
clinical rotations are requiring each student to have his/her own liability
insurance at the student’s own expense.
Due to the volume of material to be covered and the speed at which it will be presented, attendance will be expected at all classes. The maximum allowable number of absences is four classes. (KAR 109-11-8 requires 90% of the classes be attended.) If the student is unable to attend a session for any reason; it is the responsibility of the student to let the instructor know in advance when possible. Make-up assignments will be made for each session missed. At three absences the student will receive written notification of possibly being dropped from the course. At four absences, the student will receive written notification of possibly being dropped from the course. With the fifth absence, the participant will not be allowed to continue the course or challenge the state certifying examination.
Clinical Experience: The Instructor/Coordinator in cooperation
with
B.
Participant Attire: Practical skills will require bending, lifting, stooping, and other
means of physical exertion. Clothing
should be worn that allows for comfort and movement. The student should show respect for other
class members in the selection of attire.
Tank tops, halter tops, and shorts are not permitted.
C.
Participant Progress Conference: The
Instructor/Coordinator will provide the program participant with a minimum of
one progress conference during the course of the program.
D.
Participant Safety: Good mental and physical health
is necessary for an individual to maintain the pace and demands that his course
entails. All students performance in
both the classroom and practical setting will be overseen by the
Instructor/Coordinator and/or training assistant(s).
Each
student will address any problems or concerns that he/she may have regarding
his/her safety immediately to the individual directly involved with the
training in progress. Directions given by training personnel should
be followed accurately and if not understood, should be questioned to prevent
any problems. All students will perform
with normal regard for personal safety and the safety of patients and others
involved with patient care. AT NO TIME
will the student perform any act inappropriate action for the student to
take. Any student who has an infectious disease
(common cold, flu, hepatitis, herpes or cold sore, etc) should not participate
in practical skills stations or direct patient care in the clinical or
classroom setting. These students will
be expected to attend class – if their condition permits- and observe others in
the practical stations. The student will
be held responsible for the instruction and will be expected to practice on
his/her own time to maintain skill levels in keeping with class progress at the
time. Real patients in the pre-hospital
or hospital setting should not be put at risk from the students with an
infectious disease. All manikins, airway
adjuncts, etc. will be properly cleaned with disinfectant between students
use. Due to the nature of the training,
it is imperative that all students maintain good personal hygiene at all
times. A sink and disinfecting soap are
available in the area of the classroom or restrooms and will be routinely used
by students when working with patients and equipment. Any student with a history of chronic health
problems, pregnancy, recent surgery, or back injury, will be required to
present a medical release from a physician.
The instructor has the option to request that a release be obtained at
his discretion. Students should each be
able to lift 100-150 pounds. All students
will exercise prudent lifting techniques and physical exertion when working in
labs that require patient lifting, cot lifting, extrication, etc. Any time a student suffers an injury while
functioning as a student, he/she will immediately report to the
Instructor/Coordinator within 48 hours of occurrence.
GRADING SCALE
Written examinations are the
most appropriate and effective process for measurement and assessment of the
participants’ success in converting content into knowledge. Practical examinations provide feedback to
both the instructor and the participant of the ability of the participant to
perform specific tasks. Results of
written and practical examinations, quizzes, and assignments, and observational
reports detailing participants’ attitudes interpersonal interactions, will be
considered on the final grade. A passing
grade of ‘C’ or better for the course will constitute permission to challenge
the state exam.
There will be five unit exams
that will be averaged at the end of the course and will count for 60% of the
final grade. There will be frequent
daily assignments and quizzes that will count for 20% of the final grade. The remaining 20% will include the final
written and practical exam, and attitude and classroom participation.
Practical exams will be
administered during the program must be successfully completed in order to
continue. Testing will be conducted on a
pass/fail basis. At the instructor’s
discretion, a second opportunity to demonstrate competency on skills may be
arranged prior to the end of class.
Failure to show consistent and appropriate progress in skills’
acquisition will result in the participant’s possibility of being dropped from
the course or not receiving permission to challenge the state certifying exam.
The grading scale will be as
follows:
90-100% A
80-89% B
70-79% C
60-69% D
<60% F
A score of 75% is required on
the final written exam.
NOTE: The candidate must be 18 years of age to
challenge the state certifying exam.
State Certification Requirements
A.
The candidate
must be 18 years of age.
B.
The candidate
must successfully complete an approved training program.
C.
If the candidate
has been convicted of a felony, he/she must demonstrate to the Board of EMS
that they have been admonished.
D.
Make application
for certification within one year of the date of the last class.
E.
The candidate
must successfully pass the State Certifying Examination.
F.
Must be a
Continuing Education
This course only part of the
participant’s experience in
Assessment begins at the
beginning of the course when the instructor and the student determine through
conference and observation the skill level of the student. During the beginning of the class each
student will be observed and/or interviewed and initial exercises will be
examined to determine needed competency development throughout the course. Both the student and instructor will analyze
student gain at the conclusion of the course through both written and practical
evaluation.
ATTENDANCE POLICY
Absences that occur due to students participating in official
college activities are excused except in those cases where outside bodies, such
as the State Board of Nursing, have requirements for minimum class minutes for
each student. Students who are excused will be given reasonable opportunity to
make up any missed work or receive substitute assignments from the instructor
and should not be penalized for the absence.
Proper procedure should be followed in notifying faculty in advance of
the student’s planned participation in the event. Ultimately it is the student’s responsibility
to notify the instructor in advance of the planned absence.
Unless students are participating in a school activity or are excused by the instructor,
they are expected to attend class. If a
student’s absences exceed one-hundred (100) minutes per credit hour for the
course or, in the case of on-line or other non-traditional courses, the student
is inactive for one-eighth of the total course duration, the instructor has the
right, but is not required, to withdraw a student from the course. Once the student has been dropped for
excessive absences, the registrar’s office will send a letter to the student,
stating that he or she has been dropped.
A student may petition the chief academic officer for reinstatement by
submitting a letter stating valid reasons for the absences within one week of
the registrar’s notification. If the
student is reinstated into the class, the instructor and the registrar will be
notified.
Academic Integrity
NCCC expects
every student to demonstrate ethical behavior with regard to academic
pursuits. Academic integrity in
coursework is a specific requirement.
Definitions, examples, and possible consequences for violations of
Academic Integrity, as well as the appeals process, can be found in the College
Catalog, Student Handbook, and/or Code of Student Conduct and Discipline.
Cell
Phone Policy
Student cell phones and
pagers must be turned off during class times. Faculty may approve an exception
for special circumstances.
Note:
Information
and statements in this document are subject to change at the discretion of
NCCC. Changes will be published in
writing and made available to students.
NOTE: If you are a student with a disability who may need
accommodation(s) under the Americans with Disabilities Act (ADA), please notify
the Director of Advising and Counseling,
Chanute Campus, Student Union, 620-431-2820 ext 280 or the Dean, Ottawa Campus, 785-242-2607
ext 312, as soon as possible. You
will need to bring your documentation for review in order to determine reasonable
accommodations, and then we can assist you in arranging any necessary
accommodations.